Cervical Stenosis

Cervical stenosis occurs when the spinal canal in the neck narrows, putting pressure on the spinal cord or nearby nerves. This narrowing can develop gradually over time as the spine changes with age or may be the result of an acute process, such a large disc herniation taking up significant room from the nerves and spinal cord.

Most people describe cervical stenosis as neck pain alone, but other symptoms may also occur, including numbness, tingling, or even weakness in the arms and/or hands. In more advanced cases, it can also affect balance, coordination, or the ability to walk normally. In these cases, it is highly recommended that a patient seek immediate evaluation.

POSH specialists offer a range of treatments to help patients manage cervical stenosis, including both nonsurgical and surgical options tailored to each patient’s individual needs.

 

Cervical stenosis often develops when age-related changes narrow the spinal canal in the neck. Common causes include:

  • Age-related wear and disc degeneration
  • Bone spurs that form along the spinal canal
  • Thickened ligaments within the spinal canal
  • Herniated or bulging discs
  • Injury or trauma to the neck

Diagnosing cervical stenosis starts with a thorough evaluation by a POSH spine specialist. Our specialists typically evaluate patients by:

  • Physical exams: Our specialists will review your medical history and assess your strength, reflexes, and range of motion to help identify the underlying cause.
  • Imaging tests. X-rays, MRI or CT scans give our specialists a detailed look at the disc and surrounding structures, helping confirm a diagnosis.
  • Diagnostic tests. This may include specialized tests such as an Electromyography/Nerve Conduction study, also known as an EMG/NCV, which looks at the functioning state of the nerves in question.

POSH specialists work alongside a multidisciplinary team to deliver nonsurgical treatments for cervical stenosis when it is appropriate. If physical exam results do not show substantial neural tissue damage and the loss of function, these non-invasive measures serve as an initial strategy to manage symptoms prior to considering surgery.

  • Physical therapy
  • Anti-inflammatory medications (ibuprofen or acetaminophen)
  • Activity modification
  • Prescriptive Medication

When nonsurgical methods don’t provide sufficient relief, a POSH specialist will discuss surgical options, which may include:

  • Laminectomy or Laminotomy: A procedure that removes part of the vertebra to create more space and relieve pressure on the spinal cord or nerves.
  • Spinal fusion: Stabilizes the spine by fusing two or more vertebrae together, often performed alongside a laminectomy for added support.
  • Laminoplasty: A procedure that uses your own bone anatomy in combination with small miniature plates and screws to create more structural room for the spinal cord. This procedure often preserves your own anatomy and alignment without forcing you to undergo a fusion procedure.

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